This video demonstrates Total Laparoscopic Hysterectomy with Appendectomy by Suturing. The term 'total laparoscopic hysterectomy (TLH) with classical suture method' refers to a surgical procedure performed using only sutures and ligations with intracorporeal or extracorporeal ties, without using any laser or electronic cauterization devices during laparoscopic surgery as in total abdominal hysterectomy. It can be perform combining energy as well as suturing.